Drug benefit at risk for fraud and abuse, assistant U.S. attorney says
By
Haymarket Media
Jan 27, 2006
The Medicare prescription drug benefit is prone to fraud and abuse, according to an assistant U.S. attorney.
Avoiding fraud claims
By
Bruce Baron
Apr 17, 2015
With Medicare and Medicaid costs soaring, federal and state agencies are looking at various avenues to rein in costs. Fraudulent billings from healthcare providers costs taxpayers millions of dollars each...
Feds pledge fraud enforcement surge, while others seek whistleblowers
By
Kimberly Marselas
Sep 29, 2021
Skilled nursing providers will remain in the crosshairs as fraud enforcement picks up post-COVID, but it’s not just federal officials taking aim, according to one of the government’s top healthcare...
Former exec alleges Florida hospice filed claims for patients not terminally ill; government joins lawsuit
By
McKnight's Staff
Sep 10, 2012
The federal government has joined a whistleblower lawsuit against a Florida hospice over what it says were fraudulent Medicare payments, the Department of Justice announced.
$10 million therapy-provider kickback case may proceed, judge says
By
McKnight's Staff
Mar 20, 2013
A False Claims Act lawsuit involving a nursing home chain and therapy providers in Missouri can move forward, a federal judge has ruled. The case originated when a whistleblower alleged that a therapy...
Skilled nursing company to pay nearly $10M to settle False Claims allegations
By
Marty Stempniak
Feb 06, 2019
A Nashville-based skilled nursing company has agreed to pay $9.8 million to settle allegations that it forged physician’s signatures to certify patients’ entry into its facilities.
PharMerica loses bid to have Supreme Court review ‘copycat’ lawsuit decision
By
James M. Berklan
Jun 28, 2016
The U.S. Supreme Court announced Monday that it has declined to review a case that the nation’s second largest long-term care pharmacy fears could lead to “me too” lawsuits.
Was it something she said? ‘Speech therapist’ sent to prison, fined
Feb 13, 2012
A North Carolina woman who posed as a licensed speech therapist in two assisted living facilities has been sentenced to 34 months in prison for committing Medicare fraud.
Pennsylvania nursing home settles with the government
By
Haymarket Media
Jul 07, 2004
A Philadelphia-area nursing home agreed to pay the government $50,000 in a civil settlement for inadequate treatment and prevention of pressure wounds and falls, according to the U.S. attorney for the...
SNF operator to pay $16.7M to settle therapy upcoding allegations
By
Danielle Brown
Jul 14, 2020
A California-based skilled nursing operator, along with 27 of its affiliated facilities, accused of therapy upcoding is settling federal fraud allegations for $16.7 million.